Individual
WARREN HORACE JORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
146 MAXTON LN, WILLIAMSBURG, VA 23188-7025
(949) 294-7561
Mailing address
PO BOX 642, NORGE, VA 23127-0642
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0131002345
VA
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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